Jobs at PacificSource Health Plans

Administer and enhance the Workday HCM platform, including configuration, workflows, security, integrations, reporting, data integrity, testing, troubleshooting, and release management. Partner with HR, IT, vendors, and business leaders on HR systems projects, provide end-user training, and ensure compliance with HR reporting, privacy, and regulatory requirements. Lead annual Workday processes, support system changes, and manage competing project priorities.

Administer and enhance Workday HCM, including configuration, workflows, security, integrations, reporting, data integrity, testing, troubleshooting, and release management. Partner with HR, IT, vendors, and business leaders on HR systems projects, compliance reporting, and annual HR processes. Train users, resolve issues, support change management, and ensure confidentiality, accuracy, and regulatory compliance.

Lead and manage risk adjustment data submissions to CMS, optimize HCC capture and HEDIS performance, validate and reconcile data with vendors, develop reporting and forecasts, support audits (RADV), mentor analysts, and collaborate with providers and internal teams to improve processes, compliance, and revenue related to risk scores and quality metrics.

Lead and optimize risk adjustment data submissions (CMS, HCCs, HEDIS), develop and maintain reporting, validate data integrity, oversee vendors, support audits (RADV), mentor analysts, and recommend process improvements to maximize risk scores and quality payments.